Individual
DR. ALI MODARRES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
24835 LA PALMA AVE STE F, YORBA LINDA, CA 92887-5532
(714) 692-1767
Mailing address
24835 LA PALMA AVE STE F, YORBA LINDA, CA 92887-5532
(714) 692-1767
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
39186
CA
Other
Enumeration date
04/03/2007
Last updated
07/08/2007
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